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EDMONDS EYE M.D., PLLC
NPI 1659555639
Ophthalmology in Edmonds, WA

Active since December 26, 2007CLIA 50D2256136 · Waiver
7320 216TH ST SW, SUITE 220, EDMONDS, WA 98026(425) 673-3990(425) 673-3993 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Edmonds Eye M.d., Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDMONDS EYE M.D., PLLC (NPI 1659555639) is a healthcare organization registered as an ophthalmology in Edmonds, Washington and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Anna S Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1659555639
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEDMONDS EYE M.D., PLLC
Location Address7320 216TH ST SW, SUITE 220Edmonds, WA 98026-8006
Mailing Address7320 216th St Sw, Suite 220Edmonds, WA 98026-8006 · (425) 673-3990 · Fax (425) 673-3993
Phone(425) 673-3990
Fax(425) 673-3993
Organization SubpartNo
Authorized OfficialAnna S KimOwner · (425) 673-3990
Enumeration DateDecember 26, 2007
Last NPPES UpdateNovember 4, 2010
✔ NPI 1659555639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WA · BL006975
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
7320 216TH ST SW, Edmonds, WA 98026
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Other Identifiers 1

Medicare PINGAB36481WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2256136

Edmonds Eye, MD · Edmonds, WA
Active · expires Apr 4, 2028
CLIA Number50D2256136
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNatalia Bajenova
Laboratory Phone(425) 673-3990
Laboratory LocationEdmonds Eye, MD21906 76th Ave W, Edmonds, WA 98026
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHD2 OF SNOHOMISH COUNTY
Internal Medicine
7320 216TH ST SW, SUITE 200
EDMONDS, WA 98026
Snohomish County (425) 640-4901
ERIKA MAHER PARKER RPH, CF
Pharmacist
7320 216TH ST SW, STE 100
EDMONDS, WA 98026
Snohomish County (425) 673-3700
SHEN-LI TAN M.D.
Internal Medicine (Interventional Cardiology)
7320 216TH ST SW, STE 210
EDMONDS, WA 98026
Snohomish County (425) 744-1777
BLUE MOUNTAIN MEDICAL INC
Durable Medical Equipment & Medical Supplies
7320 216TH ST SW, SUITE 30
EDMONDS, WA 98026
Snohomish County (425) 673-3774
CAROLINE CAPONE PHARMD
Pharmacist
7320 216TH ST SW, SUITE 100
EDMONDS, WA 98026
Snohomish County (425) 673-3700
DR. BICH-KHANH T. NGUYEN M.D.
Internal Medicine
7320 216TH ST SW, SUITE 200
EDMONDS, WA 98026
Snohomish County (425) 640-4901
DR. DARCY SILVER FORAL M.D.
Orthopaedic Surgery
7320 216TH ST SW, SUITE 320
EDMONDS, WA 98026
Snohomish County (206) 673-3900
MRS. AMANDA RUSTINE CHIN R.PH.
Pharmacist
7320 216TH ST SW, STE. 100
EDMONDS, WA 98026
Snohomish County (425) 673-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmonds Eye M.D., PLLC's NPI number?

The NPI number for Edmonds Eye M.D., PLLC is 1659555639. It was assigned to this organization in the NPPES registry on December 26, 2007.

Where is Edmonds Eye M.D., PLLC located?

Edmonds Eye M.D., PLLC is located at 7320 216th St SW Suite 220, Edmonds, WA 98026. The listed phone number is (425) 673-3990.

What is Edmonds Eye M.D., PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Edmonds Eye M.D., PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2256136) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edmonds Eye M.D., PLLC was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.